Provider Demographics
NPI:1891328340
Name:U MATTER LLC
Entity type:Organization
Organization Name:U MATTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:601-590-8509
Mailing Address - Street 1:2440 N HILLS ST STE 126
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2634
Mailing Address - Country:US
Mailing Address - Phone:601-590-8509
Mailing Address - Fax:601-590-9035
Practice Address - Street 1:2440 N HILLS ST STE 126
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2634
Practice Address - Country:US
Practice Address - Phone:601-590-8509
Practice Address - Fax:601-590-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty